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General NPI Number Information
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NPI Number | 1639541006
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Entity Type | Organization
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Legal Business Name | ARFA DENT, INC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 7301 W PALMETTO PARK RD STE 203B
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City | BOCA RATON
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State | FL
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Zip | 33433-3456
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Country | US
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Telephone | 561-391-6066
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Fax | 561-393-7361
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Provider Business Mailing Address
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Address Line | 7301 W PALMETTO PARK RD STE 203B
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City | BOCA RATON
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State | FL
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Zip | 33433-3456
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Country | US
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Telephone | 561-391-6066
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Fax | 561-393-7361
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Authorized Official
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Title or Position | PEDIATRIC DENTIST OWNER
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Name | MR. OSCAR AREVALO
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Credential | DDS
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Telephone | 561-391-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN19448
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License Number State | FL
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